A Longitudinal Observational Study of Multimorbidity and Partner Support for Physical Activity Among People with Osteoarthritis.
Couples
Dyad
Multimorbidity
Osteoarthritis
Physical activity
Social support
Journal
International journal of behavioral medicine
ISSN: 1532-7558
Titre abrégé: Int J Behav Med
Pays: England
ID NLM: 9421097
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
accepted:
22
03
2021
pubmed:
3
4
2021
medline:
30
10
2021
entrez:
2
4
2021
Statut:
ppublish
Résumé
Physical activity can improve osteoarthritis-related symptoms; however, many people with osteoarthritis (PWOA) are insufficiently active. Social support for physical activity from an intimate partner can help PWOA increase activity, but managing multiple, chronic physical or mental health conditions (i.e., multimorbidity) may influence provision and receipt of that support. Data from a 1-year longitudinal observational study was used to examine associations between multimorbidity and three dimensions of partner support for physical activity-companionship partner support (doing activity together), enacted partner support, and social support effectiveness-in 169 insufficiently active PWOA and their partners. Multivariable-adjusted multi-level models indicated baseline differences in support by multimorbidity status: when partners had multimorbidity, PWOA reported receiving less companionship support and less effective support from partners; when PWOA had multimorbidity, partners reported providing less enacted support and both partners and PWOA reported less effective partner support. Broad trends (p < .05) indicate initial increases and subsequent decreases in companionship and enacted partner support when PWOA had multimorbidity, and among partners with and without multimorbidity. When PWOA had multimorbidity, an initial increase in support effectiveness was followed by no significant change; a similar trend was seen among partners with and without multimorbidity. Multimorbidity may generally contribute to less partner support for physical activity or less effective support, although influences on support over time are less clear. Physical activity interventions for couples experiencing multimorbidity would likely benefit from attention to the impact of multiple chronic health conditions on physical activity and physical activity-related partner support.
Sections du résumé
BACKGROUND
BACKGROUND
Physical activity can improve osteoarthritis-related symptoms; however, many people with osteoarthritis (PWOA) are insufficiently active. Social support for physical activity from an intimate partner can help PWOA increase activity, but managing multiple, chronic physical or mental health conditions (i.e., multimorbidity) may influence provision and receipt of that support.
METHOD
METHODS
Data from a 1-year longitudinal observational study was used to examine associations between multimorbidity and three dimensions of partner support for physical activity-companionship partner support (doing activity together), enacted partner support, and social support effectiveness-in 169 insufficiently active PWOA and their partners.
RESULTS
RESULTS
Multivariable-adjusted multi-level models indicated baseline differences in support by multimorbidity status: when partners had multimorbidity, PWOA reported receiving less companionship support and less effective support from partners; when PWOA had multimorbidity, partners reported providing less enacted support and both partners and PWOA reported less effective partner support. Broad trends (p < .05) indicate initial increases and subsequent decreases in companionship and enacted partner support when PWOA had multimorbidity, and among partners with and without multimorbidity. When PWOA had multimorbidity, an initial increase in support effectiveness was followed by no significant change; a similar trend was seen among partners with and without multimorbidity.
CONCLUSION
CONCLUSIONS
Multimorbidity may generally contribute to less partner support for physical activity or less effective support, although influences on support over time are less clear. Physical activity interventions for couples experiencing multimorbidity would likely benefit from attention to the impact of multiple chronic health conditions on physical activity and physical activity-related partner support.
Identifiants
pubmed: 33797056
doi: 10.1007/s12529-021-09985-x
pii: 10.1007/s12529-021-09985-x
pmc: PMC8489514
mid: NIHMS1694800
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
746-758Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001111
Pays : United States
Organisme : NCI NIH HHS
ID : T32 CA128582
Pays : United States
Organisme : NIAMS NIH HHS
ID : P60 AR064166
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG015281
Pays : United States
Organisme : NIAMS NIH HHS
ID : P30 AR072580
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL007055
Pays : United States
Organisme : NHLBI NIH HHS
ID : R25 HL126145
Pays : United States
Informations de copyright
© 2021. International Society of Behavioral Medicine.
Références
Prev Med. 2017 Dec;105:326-331
pubmed: 28987335
Ann Behav Med. 2015 Oct;49(5):704-14
pubmed: 25868508
Arthritis Care Res (Hoboken). 2015 Oct;67(10):1371-8
pubmed: 25777463
Res Q Exerc Sport. 2004 Sep;75(3):231-7
pubmed: 15487287
Ageing Res Rev. 2011 Sep;10(4):430-9
pubmed: 21402176
Innov Aging. 2017 Sep 13;1(2):igx015
pubmed: 30480114
J Asthma. 2014 Apr;51(3):243-52
pubmed: 24161047
Cytokine Growth Factor Rev. 2018 Dec;44:38-50
pubmed: 30340925
Health Psychol. 2019 Sep;38(9):822-830
pubmed: 31021125
Prev Chronic Dis. 2015 Apr 23;12:E55
pubmed: 25906436
Health Qual Life Outcomes. 2004 Sep 17;2:50
pubmed: 15377384
J Psychol. 2010 May-Jun;144(3):259-84
pubmed: 20461931
Int J Environ Res Public Health. 2016 Dec 26;14(1):
pubmed: 28035968
J Am Board Fam Med. 2018 Jul-Aug;31(4):503-513
pubmed: 29986975
Arthritis Care Res (Hoboken). 2016 Jan;68(1):55-65
pubmed: 26097226
Osteoarthritis Cartilage. 2019 Nov;27(11):1578-1589
pubmed: 31278997
Rehabil Psychol. 2010 May;55(2):194-203
pubmed: 20496974
Can J Aging. 2017 Jun;36(2):209-222
pubmed: 28349856
JAMA. 2012 Jun 20;307(23):2493-4
pubmed: 22797447
Prev Med. 1987 Nov;16(6):825-36
pubmed: 3432232
Arthritis Rheumatol. 2020 Feb;72(2):220-233
pubmed: 31908163
Trans Am Clin Climatol Assoc. 2015;126:77-86
pubmed: 26330661
Ann Phys Rehabil Med. 2019 Jan;62(1):14-20
pubmed: 30290283
Methodist Debakey Cardiovasc J. 2016 Apr-Jun;12(2):98-104
pubmed: 27486492
Health Psychol. 2016 Oct;35(10):1059-68
pubmed: 27294596
J Gerontol B Psychol Sci Soc Sci. 1999 Nov;54(6):S356-67
pubmed: 10625971
Eur J Ageing. 2011 Jul 7;8(3):211
pubmed: 28798651
BMC Public Health. 2012 Mar 19;12:201
pubmed: 22429338
Psychol Health. 2020 Jan;35(1):36-69
pubmed: 31321995
BMC Geriatr. 2017 Jul 31;17(1):170
pubmed: 28760148
Soc Sci Med. 2006 Mar;62(6):1369-80
pubmed: 16146666
Arthritis Rheumatol. 2016 Aug;68(8):1869-75
pubmed: 27059260
MMWR Morb Mortal Wkly Rep. 2017 Mar 10;66(9):246-253
pubmed: 28278145
Arthritis Rheumatol. 2014 Nov;66(11):3013-7
pubmed: 25103598
Gerontologist. 2019 Sep 17;59(5):e611-e628
pubmed: 29982539
Fam Syst Health. 2010 Mar;28(1):30-47
pubmed: 20438201
Ann Rheum Dis. 2002 Apr;61(4):290-7
pubmed: 11874828
CMAJ. 2016 Apr 19;188(7):510-518
pubmed: 26976965
Inflammopharmacology. 2012 Apr;20(2):53-8
pubmed: 22237485
Arthritis Care Res (Hoboken). 2017 Jun;69(6):807-816
pubmed: 27563831
Fam Syst Health. 2012 Dec;30(4):330-43
pubmed: 23148979
J Behav Med. 2014 Jun;37(3):491-500
pubmed: 23512197
Health Qual Life Outcomes. 2007 Aug 06;5:52
pubmed: 17683600
Epidemiol Rev. 2013;35:75-83
pubmed: 23372025
J Pain Res. 2018 Feb 22;11:417-425
pubmed: 29503578
J Gerontol. 1981 Jul;36(4):428-34
pubmed: 7252074
J Phys Act Health. 2014 Feb;11(2):285-95
pubmed: 23359072
Arthritis Rheum. 2008 Jan;58(1):26-35
pubmed: 18163497
J Cardiopulm Rehabil Prev. 2018 May;38(3):170-174
pubmed: 29116949
Int J Behav Nutr Phys Act. 2017 Jan 18;14(1):6
pubmed: 28100238
Ann Behav Med. 2013 Apr;45(2):213-23
pubmed: 23161472
Obes Rev. 2014 Jul;15(7):578-86
pubmed: 24751192
Gerontologist. 2021 Aug 13;61(6):e283-e301
pubmed: 32614050
Endocrinol Metab Clin North Am. 2016 Sep;45(3):511-20
pubmed: 27519127
Ann Intern Med. 2011 Feb 15;154(4):217-26
pubmed: 21320937
Front Public Health. 2018 Jul 18;6:197
pubmed: 30073160
Am J Psychiatry. 1983 Jun;140(6):734-9
pubmed: 6846631
J Am Med Dir Assoc. 2015 Aug 1;16(8):640-7
pubmed: 25958334
Annu Rev Public Health. 2007;28:145-70
pubmed: 17168638
Pain. 2004 Aug;110(3):539-549
pubmed: 15288394
Ann Behav Med. 2014 Dec;48(3):337-46
pubmed: 24604529